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Ten times more people are in hospital with flu than this time last year, latest figures show.

There were an average of 344 patients a day with flu in hospital last week, compared with the 31 seen at the beginning of December last year, according to data released by NHS England.

It comes amid pressures on staffing too, with new figures showing nearly 360,000 NHS staff were absent from work last week through illness or self-isolating due to COVID.

Around 19 in 20 general and acute beds were taken up – 80% for adult critical care, NHS England’s first weekly winter update also showed.

More than 13,000 (13,179) beds a day were taken up last week by patients who no longer needed one – this is up a quarter compared to the first week of December last year (10,510).

It follows a warning from NHS leaders that it is facing the threat of a “tripledemic” of COVID, flu and record demand on urgent and emergency services.

NHS England launched its annual 111 campaign today – urging people to use its online service to reduce “record” demand on accident and emergency (A&E) departments.

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People should still call 999 and go to A&E when someone is seriously ill or injured and their life is at risk, it added.

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Flu season is here – and hitting the youngest and elderly hardest

Flu season is here and the warning about crippling winter pressure on the NHS is starting to come true.

We monitor what happens with flu in the southern hemisphere to try and predict what impact the virus will have on us when winter comes. It hit Australia hard and early and that could be repeated here in the next few months.

Already hundreds of NHS beds in England were taken up by patients with flu every day over the last week, according to the latest data. An average of 344 patients a day with flu were in hospital last week. That’s more than ten times the number seen at the beginning of December last year.

Flu hits the youngest and elderly hardest. It is especially dangerous for children with underlying health conditions. Children’s doctors say “paediatric winter” has started.

November is when RSV (respiratory syncytial virus) cases spike. It is a common winter virus but social distancing during the pandemic means it has not circulated widely over the past two years. That also means young children have not been exposed to these winter respiratory viruses before.

As RSV cases start to decline towards the end of November flu cases start to rise.

Paediatricians are really worried about a shortage of intensive care beds for very sick children.

A senior consultant told me: “There have been hardly any PICU (paediatric intensive care unit) beds in the south of the UK for the last few days and children are waiting sometimes more than 24 hours in the EDs?

“The situation for children is awful but no one seems to be mentioning it. Whereas for adults it is always made clear how awful it is. It is probably as bad if not worse for children.”

Sky News has been told there are concerns over the number of paediatric ICU beds available in some parts of the country.

The latest data shows last Thursday there were as few as 33 spare beds available in England – that’s lower than at any point last winter.

While the exact figures might change slightly over the next two weeks, NHS England has confirmed there is higher PICU (paediatric intensive care unit) occupancy this month compared with previous years.

The Paediatric Critical Care Society told Sky News: “Many PICUs are at, or over, their staffed bed capacity. This situation is likely to continue, or even worsen, over the coming months.”

They said staff shortages, and an increasing number of complex patients are impacting capacity.

Some hospitals are operating on a one in one out policy with patients being moved to other trusts or being treated in the community to help alleviate the pressure, however, it said all children who need to be treated in hospital are receiving the appropriate treatment.

Camilla Kingdon, president of the Royal College of Paediatrics and Child Health, told Sky News “We are concerned to hear reports of PICU bed shortages in parts of the country. We know paediatric teams are exceptionally busy this winter as a result of ever rising demand and staffing issues.”

Nurses across the UK have voted to strike in the first ever national action over a pay dispute
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Professor Sir Stephen Powis, NHS national medical director, said the NHS is likely to experience its “most challenging winter ever” this year, adding the threat of a “tripledemic” is very real.

“It has never been more important to get protected against the viruses ahead of winter,” he said.

“The NHS has extensive plans in place to deal with winter boosting bed capacity – recruiting more call handlers, introducing 24/7 control centres to track and manage demand and new falls services across the country,” he added.

“Hospitals continue to contend with more patients coming in than going out, with thousands of patients every day in hospital that are medically fit for discharge, and so we continue to work with colleagues in social care to do everything possible to ensure people can leave hospital when they are ready.”

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Girl, 7, dies after tree collapses at park in Southend

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Girl, 7, dies after tree collapses at park in Southend

One girl has died and another is in a critical condition after a tree partially collapsed at a park in Essex.

The girls, aged seven and six, suffered serious injuries when they were among a number of children caught beneath the tree at Chalkwell Park in Southend.

Essex Police confirmed the seven-year-old girl died in hospital and her family is receiving support from specialist officers.

Three other children suffered minor injuries following the incident.

An East of England Ambulance Service spokesperson said: “We were called at 2.55pm to reports that a tree had fallen in Chalkwell Park in Chalkwell.

“Six ambulances, three ambulance officer vehicles, the London Air Ambulance and Kent Air Ambulance were sent to the scene.”

Map showing the location of Chalkwell Park in Essex

Police said an investigation is continuing into what caused the tree to collapse.

‘Unimaginable hardship’ for families

Chief Superintendent Leighton Hammett said: “Families are facing unimaginable hardship this evening and all of our thoughts are with them at this time.

“I cannot begin to put into words how difficult today’s events have been, and continue to be, for them.

“It’s also not lost on me how traumatic it must have been for the members of the public who witnessed this awful incident.

“Across a matter of moments, many of them went from enjoying the warm summer weather to rushing to the aid of strangers without a second thought.”

Chief Sup Hammett also paid tribute to police, ambulance and fire crews who “did all they could,” adding that “today’s loss is one they will all take personally”.

Death is ‘truly devastating’

Local MP David Burton-Sampson said: “The news of the sad death of one of the children involved in the incident at Chalkwell Park today is truly devastating.

“I am sure I reflect the thoughts of all our residents here in Southend in sending my deepest condolences to the child’s family and friends.

“My thoughts are also with the other children injured and I wish them a full and speedy recovery.

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Hundreds of NHS quangos to be axed – as plans unveiled for health funding to be linked to patient feedback

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Hundreds of NHS quangos to be axed - as plans unveiled for health funding to be linked to patient feedback

NHS funding could be linked to patient feedback under new plans, with poorly performing services that “don’t listen” penalised with less money.

As part of the “10 Year Health Plan” to be unveiled next week, a new scheme will be trialled that will see patients asked to rate the service they received – and if they feel it should get a funding boost or not.

It will be introduced first for services that have a track record of very poor performance and where there is evidence of patients “not being listened to”, the government said.

This will create a “powerful incentive for services to listen to feedback and improve patients’ experience”, it added.

Sky News understands that it will not mean bonuses or pay increases for the best performing staff.

NHS payment mechanisms will also be reformed to reward services that keep patients out of hospital as part of a new ‘Year of Care Payments’ initiative and the government’s wider plan for change.

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Speaking to The Times, chief executive of the NHS Confederation Matthew Taylor expressed concerns about the trial.

He told the newspaper: “Patient experience is determined by far more than their individual interaction with the clinician and so, unless this is very carefully designed and evaluated, there is a risk that providers could be penalised for more systemic issues, such as constraints around staffing or estates, that are beyond their immediate control to fix.”

He said that NHS leaders would be keen to “understand more about the proposal”, because elements were “concerning”.

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Health Secretary Wes Streeting said: “We will reward great patient care, so patient experience and clinical excellence are met with extra cash. These reforms are key to keeping people healthy and out of hospital, and to making the NHS sustainable for the long-term as part of the Plan for Change.”

In the raft of announcements in the 10 Year Health Plan, the government has said 201 bodies responsible for overseeing and running parts of the NHS in England – known as quangos – will be scrapped.

These include Healthwatch England, set up in 2012 to speak out on behalf of NHS and social care patients, the National Guardian’s Office, created in 2015 to support NHS whistleblowers, and the Health Services Safety Investigations Body (HSSIB).

The head of the Royal College of Nursing described the move as “so unsafe for patients right now”.

Professor Nicola Ranger said: “Today, in hospitals across the NHS, we know one nurse can be left caring for 10, 15 or more patients at a time. It’s not safe. It’s not effective. And it’s not acceptable.

“For these proposed changes to be effective, government must take ownership of the real issue, the staffing crisis on our wards, and not just shuffle people into new roles. Protecting patients has to be the priority and not just a drive for efficiency.”

Elsewhere, the new head of NHS England Sir Jim Mackey said key parts of the NHS appear “built to keep the public away because it’s an inconvenience”.

“We’ve made it really hard, and we’ve probably all been on the end of it,” he told the Daily Telegraph.

“The ward clerk only works nine to five, or they’re busy doing other stuff; the GP practice scrambles every morning.”

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Cocaine haul worth nearly £100m seized in one of UK’s biggest-ever drugs busts

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Cocaine haul worth nearly £100m seized in one of UK's biggest-ever drugs busts

A haul of cocaine worth nearly £100m has been seized at a UK port, authorities say.

The haul, weighing 2.4 tonnes, was found under containers on a ship arriving from Panama at London Gateway port in Thurrock, Essex.

It had been detected earlier this year after an intelligence-led operation but was intercepted as it arrived in the UK this week.

With the help of the port operator, 37 large containers were moved to uncover the drugs, worth an estimated £96m.

The haul is the sixth-largest cocaine seizure in UK history, according to Border Force.

Its maritime director Charlie Eastaugh said: “This seizure – one of the largest of its kind – is just one example of how dedicated Border Force maritime officers remain one step ahead of the criminal gangs who threaten our security.

“Our message to these criminals is clear – more than ever before, we are using intelligence and international law enforcement cooperation to disrupt and dismantle your operations.”

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Container ships are one of the main ways international gangs smuggle Class A drugs into the UK, Mr Eastaugh said.

Cocaine deaths in England and Wales increased by 31% between 2022 and 2023, according to the latest Home Office data.

Elsewhere this weekend, a separate haul of 170 kilos of ketamine, 4,000 MDMA pills, and 20 firearms were found on a lorry at Dover Port in Kent.

One of the 20 firearms found at Dover Port. Pic: NCA
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One of the 20 firearms found at Dover Port. Pic: NCA

Experts estimate the ketamine’s street value to be £4.5m, with the MDMA worth at least £40,000.

The driver of the lorry, a 34-year-old Tajikistan national, was arrested at the scene on suspicion of smuggling the items, the National Crime Agency said.

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